Active NPI
Denis P Raleigh, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MC-0944
- Practice address
- 3200 Channing Way Ste 205
Idaho Falls, ID 83404-7546 - Phone
- (208) 535-4580
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MC-0944 | ID | Primary |
Addresses
Primary practice location
3200 Channing Way Ste 205
Idaho Falls, ID 83404-7546
Mailing address
PO Box 277381
Atlanta, GA 30384-7381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, ND, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2860 Channing Way
Suite 116
Idaho Falls, ID 83404-7532
Phone (208) 535-4567
2860 Channing Way
Suite 220
Idaho Falls, ID 83404-7541
Phone (208) 800-6155
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111
3200 Channing Way
Suite A205
Idaho Falls, ID 83404-7586
Phone (208) 535-4580
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC-0944 | ID | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecm Health Group LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Idaho Physician Services Inc. | Current | Accepting new patients | |
| St Alexius Medical Center | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Center for Advanced Cardiac Therapies PSC | Past | Accepting new patients | |
| Louisville Heart Surgery, PLLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098
541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026
205 Marengo St
Florence, AL 35630
Phone (256) 768-8350
203 Avalon Ave
Ste 300
Muscle Shoals, AL 35661
Phone (256) 386-1132
2860 Channing Way
Ste 116
Idaho Falls, ID 83404
Phone (208) 529-0575
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
3200 Channing Way
Ste 220
Idaho Falls, ID 83404
Phone (208) 800-6155
2860 Channing Way
Ste 220
Idaho Falls, ID 83404
Phone (208) 535-4000
3200 Channing Way
Ste 205
Idaho Falls, ID 83404
Phone (208) 535-4300
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- draleigh@yourcarecommunity.org
- denis.raleigh@hca3.eclinicaldirectplus.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba East Falls Orthopedics
- Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1902841893
-
- Obstetrics & Gynecology Physician
- Florence, AL
- NPI 1346588852
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba CHI St. Alexius Health Clinics
- Specialist
- Bismarck, ND
- NPI 1205868429
-
dba CHI St. Alexius Health
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- Interventional Cardiology Physician
- Louisville, KY
- NPI 1912653882
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Louisville, KY
- NPI 1659598159
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1427069855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277381",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303847381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CHANNING WAY STE 205",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047546",
"telephone_number": "208-535-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALEIGH",
"first_name": "DENIS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "ID",
"license": "MC-0944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.